Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $150.65 / $150.65	Facility		$150.65	$150.65	$150.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $216.38 / $371.00	Professional		$150.65	$216.38	$371.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $340.21 / $1,033.95	Facility		$200.17	$340.21	$1,033.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $249.42 / $484.56 / $1,962.45	Professional		$249.42	$484.56	$1,962.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $237.65 / $540.75	Facility		$233.36	$237.65	$540.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $358.60	Professional		$358.60	$358.60	$358.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $227.40 / $408.48	Facility		$59.40	$227.40	$408.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $86.76 / $1,019.54	Professional		$49.96	$86.76	$1,019.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $88.40 / $447.50	Facility		$60.50	$88.40	$447.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $154.47 / $311.67	Facility		$91.11	$154.47	$311.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.67 / $467.38 / $618.64	Professional		$311.67	$467.38	$618.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $187.90 / $267.44 / $492.60	Facility		$187.90	$267.44	$492.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.46 / $368.22 / $550.50	Professional		$231.46	$368.22	$550.50
United Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $260.42 / $593.22	Professional		$186.82	$260.42	$593.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $108.27 / $108.27	Professional		$108.27	$108.27	$108.27